Kevin Kelly is a Family Medicine in Fort Lewis, Washington. Kevin Kelly practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin Kelly is 1588634802. The last update date is 2007-07-12.
Kevin Kelly's current location address is 9040 Fitzsimmons Blvd, Fort Lewis, Washington. You can contact this provider via phone number 2539687600. The mailing address for Kevin Kelly is 9040 Fitzsimmons Blvd, Fort Lewis, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Kelly |
|---|---|
| Address | 9040 Fitzsimmons Blvd, Fort Lewis, Washington |
| Phone Number | 2539687600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588634802 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 9040 Fitzsimmons Blvd |
|---|---|
| City | Fort Lewis |
| State | Washington (WA) |
| Post Code | 98431 |
| Phone Number | 2539687600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 23252 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Kevin Kelly by the Centers for Medicare & Medicaid Services?
The Kevin Kelly has been issued the NPI (National Provider Identifier) 1588634802. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kevin Kelly is located?
The Kevin Kelly is situated at the following address: 9040 Fitzsimmons Blvd, Fort Lewis, WA, 98431.
What is the Kevin Kelly's specialty and taxonomy code?
The Kevin Kelly's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588634802 to Kevin Kelly?
The Kevin Kelly received its 1588634802 assignment from the Centers for Medicare & Medicaid Services on 2006-01-26.
As of what date were the details pertaining to Kevin Kelly last refreshed?
The information related to the Kevin Kelly, including its address, specialty, and other relevant details, was last updated on 2007-07-12.